Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,060.54 / $6,061.90 / $9,554.40	Professional		$6,060.54	$6,061.90	$9,554.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,061.59 / $8,139.29	Facility		$100.00	$1,061.59	$8,139.29
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,361.55 / $8,913.34 / $11,839.60	Professional		$1,361.55	$8,913.34	$11,839.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,447.14 / $7,447.14 / $7,447.14	Facility		$7,447.14	$7,447.14	$7,447.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $899.70 / $6,330.07 / $7,447.14	Professional		$899.70	$6,330.07	$7,447.14
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $8,082.53 / $8,082.53 / $8,082.53	Facility		$8,082.53	$8,082.53	$8,082.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8,082.53 / $8,082.53 / $8,082.53	Professional		$8,082.53	$8,082.53	$8,082.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $5,994.47 / $7,103.76 / $8,682.37	Professional		$5,994.47	$7,103.76	$8,682.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6,834.96 / $6,834.96 / $6,834.96	Facility		$6,834.96	$6,834.96	$6,834.96
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $6,834.96 / $6,834.96 / $6,834.96	Professional		$6,834.96	$6,834.96	$6,834.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,061.59 / $1,061.59 / $1,061.59	Facility		$1,061.59	$1,061.59	$1,061.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,538.10 / $10,828.32 / $13,615.54	Professional		$6,538.10	$10,828.32	$13,615.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $818.66 / $818.66 / $996.80	Professional		$818.66	$818.66	$996.80
United Facility/Professional Professional Modifier Low / Median / High Price $3,168.92 / $3,427.44 / $6,539.13	Professional		$3,168.92	$3,427.44	$6,539.13